PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL NPI 1003208257

NPI Information

PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL is a clinic center in Martin, SD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL NPI is 1003208257. The provider is registered as an organization entity type.
The provider Is Doing Business As Lacreek District Clinic.

The provider's business location address is:

119 SOUTH 1ST AVENUE
MARTIN, SD
ZIP 57551
Phone: (605) 685-2800

The provider's authorized official is Rhonda M Akers .
The authorized official title is Health System Specialist and has the following contact phone number (605) 867-3032.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 7/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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